Document Detail


Malignancy following kidney transplantation.
MedLine Citation:
PMID:  18790247     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A cohort of 429 patients who received kidney grafts between 1973 and 2007 at our hospital was studied for the incidence and sites of malignancy. Sixty-two malignant diseases developed in 57 of 429 patients (13.3%). The cumulative incidences of malignancy increased markedly in the second and third posttransplantation decades. The overall rates were 1.8% at 5 years, 6.7% at 10 years, 12.5% at 15 years, 17.3% at 20 years, and 25.6% at 25 years. In the second and third posttransplantation decades, patients without malignancy showed significantly superior survival versus than those with cancer (P = .0002). Their survival rates were 83.4% versus 86.9% at 10 years and 63.1% versus 80.3% at 20 years, respectively. Skin cancer, renal cell carcinoma of the native kidney, hepatocellular carcinoma, posttransplantation lymphoproliferative disease, uterine cancer, and colorectal cancer were common in our series. The 5-year survival rates after the treatment of malignancy were better for skin cancer and renal cell carcinoma of the native kidney. Concerning the effects of immunosuppression, the tacrolimus-based group displayed a higher incidence among 3 groups (P = .0044).
Authors:
N Arichi; H Kishikawa; K Nishimura; Y Mitsui; Y Namba; S Tokugawa; Y Ichikawa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Transplantation proceedings     Volume:  40     ISSN:  0041-1345     ISO Abbreviation:  Transplant. Proc.     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-15     Completed Date:  2008-11-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243532     Medline TA:  Transplant Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2400-2     Citation Subset:  IM    
Affiliation:
Department of Urology and Renal Transplantation Center, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya, Hyogo, Japan. naokoarichi2002@yahoo.co.jp
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MeSH Terms
Descriptor/Qualifier:
Cadaver
Female
Humans
Incidence
Japan
Kidney Transplantation / adverse effects*,  mortality
Living Donors / statistics & numerical data
Male
Neoplasms / epidemiology*,  mortality
Retrospective Studies
Survival Analysis
Tissue Donors / statistics & numerical data

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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